If you acquire a new dependent from marriage, birth, adoption or placement for adoption, the dependent may become enrolled in the Plan as an eligible dependent if the Benefit Office is notified in writing within 30 days from the date of the marriage, birth, adoption or placement for adoption.

If you do not notify the Benefit Office in writing during the 30-day Special Enrollment Period, coverage for your dependent will begin when you notify the Benefit Office in writing that you have acquired a dependent from marriage, birth, adoption or placement for adoption.  However, the coverage under the Plan will only be effective from the date the Benefit Office receives your written notification, NOT from the date of marriage, birth, adoption, or placement for adoption.   

Your spouse must obtain single-person health care coverage if it is available through the their employer and they are a “full-time employee”.

If your spouse does not obtain the coverage when it is available from his/her employer, the coordination of benefits provisions of the Plan will apply as if your spouse had coverage from their employer.  Lack of coverage by your spouse will result in a denial of most, if not all, of the their claim when it is submitted to the Plan for payment.  

The hours that work in a particular month provide eligibility for the third month following the month in which hours were worked. Example: Work reported for January is for April eligibility. See below for a complete breakdown.

Yes. You will immediately lose eligibility for benefits, the balance in the Supplemental Credit Reserve Account (SCRA), and accumulated reserve hours if:

1. You work for a non-contributing employer in the plumbing and pipfitting industry in the geographic jurisdiction of Local 50 or,
2. Local 50 withholds labor from an employer because the employer is delinquent in making contributions to the Plan and you continue to work for the employer after being instructed by Local 50 to not remain in the employment of the employer.

Also, if you lose eligibility and benefits under this Immediate Loss of Eligibility rule, you must again satisfy the Plan's initial eligibility rules to become eligible for coverage. However, even if the initial eligibility rules are satisfied, your reserve hours and Supplement Credit Reserve Account balance will not be reinstated.  

Federal law required that most group health plan (including the Plan) give employees and their families the opportunity to continue their health care coverage when there is a “qualifying event” that would result in a loss of coverage under a Plan.  Depending on the type of qualifying event, “qualified beneficiaries” can include the employee covered under the group health plan, the covered employee’s spouse and the dependent children of the covered employee.

Continuation coverage is the same coverage that the Plan gives to other participants or beneficiaries under the Plan who are not receiving continuation coverage.  Each qualified beneficiary who elects continuation coverage will have the same rights under the Plan as other participants or beneficiaries covered under the Plan, including special enrollment rights.